Gateways To Better Living

What Gateways To Better Living does

Gateways to Better Living, Inc. is a 501(c)(3)-style nonprofit organization founded in 1972 and headquartered at 6000 Mahoning Avenue in Youngstown, Ohio. It provides residential and day-program services to adults with intellectual and developmental disabilities (IDD) in Ohio's Mahoning and Trumbull Counties. The organization operates three branded day-program sites — Gateways Galleria in Niles, Rayen Avenue (Gateways Industries) in Youngstown, and The Village by Gateways in Boardman — and serves more than 200 adults with services focused on personal care, adult daily living, community integration, social skill development, and vocational opportunities. Residential services include Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) and Ohio Medicaid waiver-funded services under the IO, Level One, and Self-Empowerment waiver programs.

The underlying technology footprint is minimal: the company has no proprietary platform, no public APIs, and no AI/ML capabilities. Service delivery is conducted through trained direct-care staff across physical facilities, supplemented by non-medical transportation between sites. Administrative systems consist of a WordPress-based website and a dedicated employee portal (connect.gatewaystbl.com). The organization also operates a branded merchandise storefront (Gateways Gear Store) as a community-engagement and supplemental fundraising channel.

The business model is a managed-services nonprofit funded almost entirely by Ohio Medicaid, with revenue mechanics driven by per-diem rates for ICF beds and per-service reimbursement for waiver-funded day programs, vocational services, and transportation. Client acquisition is conducted through referral partnerships with County Boards of Developmental Disabilities, which control eligibility determination under the Ohio Department of Developmental Disabilities. Pricing is not publicly disclosed and is set administratively by state Medicaid policy rather than through commercial negotiation. Additional non-Medicaid revenue comes from donations, the merchandise store, and a community partnership with Cockeye Creamery's Cockeye Cares program.

Name

Gateways To Better Living

Legal name

Gateways to Better Living, Inc.

Website

https://gatewaystbl.com

Company type

Private

Founded year

1972

Operating status

Operating

Headcount range

101–250 employees

Short description

Gateways to Better Living is a 50-year-old Youngstown, Ohio nonprofit providing residential, day-program, and ICF services to 200+ adults with intellectual and developmental disabilities across Mahoning and Trumbull Counties, funded primarily by Ohio Medicaid waivers and ICF reimbursements.

Ownership category

akta.pro rank

Product category

Disability Support Services

NAICS

Residential Intellectual and Developmental Disability Facilities (62321), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232)

SIC

Services-Social Services (8300), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Housing Transition & Supported Living Navigation (EDAKANAK)

akta.pro secondary industry

Community Integration & Travel Training (Public Transportation Navigation) (EDAKANAH)

Keywords

• Developmental disability services
• Residential care services
• Adult day programs
• Medicaid waiver services
• Intermediate care facilities

Headquarters

HQ city

Youngstown

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales

Revenue model

1. Medicaid Waiver Services: Services are funded through the Ohio Medicaid waiver program, which allows for the provision of diversified medical and support services in the home, community, and places of employment for individuals with developmental disabilities.
2. Intermediate Care Facility (ICF) Services: ICF/IID is an optional Medicaid benefit providing comprehensive and individualized health care and rehabilitation services to promote functional status and independence.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Gateways To Better Living is a nonprofit organization that provides day program services and residential services for adults with intellectual and developmental disabilities in the Mahoning Valley, Ohio. Offerings include structured day programs across three locations (Galleria in Niles, Rayen Avenue in Youngstown, and The Village in Boardman), Intermediate Care Facilities (ICF), and Ohio Medicaid waiver-based services focused on personal care, daily living skills, community integration, and social development.

Product overview

Gateways to Better Living is a nonprofit organization providing day program services and residential services for adults with intellectual and developmental disabilities in the Mahoning Valley, Ohio. The organization operates three day program locations: Gateways Galleria (Niles), Rayen Avenue (Youngstown), and The Village by Gateways (Boardman). Their residential services include Intermediate Care Facilities (ICF) and Waiver Services, offering flexible care that can be modified to meet changing needs. The organization serves more than 200 adults and focuses on personal care, daily living activities, community integration, and social skill development.

Differentiator

Problem solved

Functional benefit

Brands

• Gateways Galleria: Day program location in Niles, Ohio providing structured activities and enrichment opportunities.
• The Village by Gateways
• Gateways Industries

Products and services

• Day Program Services Structured daytime activities and enrichment opportunities delivered at three facility locations (Galleria in Niles, Rayen Avenue in Youngstown, and The Village in Boardman) for adults with intellectual and developmental disabilities. Programs focus on personal care, daily living activities, community integration, and social skill development.
• Residential Services Flexible residential services that can be modified to meet the changing abilities, interests, choices, and needs of adults with intellectual and developmental disabilities. Includes Intermediate Care Facility (ICF) placements and Medicaid waiver-based residential supports.
• Intermediate Care Facilities (ICF) Medicaid-funded Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) providing comprehensive and individualized health care and rehabilitation services to promote functional status and independence.
• Waiver Services State of Ohio Medicaid waiver program allowing for diversified medical and support services in the home, community, and places of employment. Individual Service Plans (ISPs) determine the types and funding of services provided.
• Gateways Gear Store Online store selling Gateways-branded merchandise to support the organization's programs.

Quantifiable outcome

• More than 200 adults with intellectual and developmental disabilities served in the Mahoning Valley

Named customers1 record

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Cockeye CreameryminorGTM or Marketing Partner · 6 April 2026Cockeye Creamery in Canfield, Ohio selected Gateways to Better Living as its featured nonprofit for the quarter under its Cockeye Cares program. A special Banana Cream Pie ice cream flavor was launched to benefit the organization, with proceeds from each pint-size purchase through the end of June supporting programming for the nonprofit, including its annual Christmas celebration.

Scale indicators2 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• The Arc: National nonprofit organization delivering advocacy, residential, day, and family-support services for people with intellectual and developmental disabilities; closely mirrors Gateways' mission, payer mix, and service modalities.
• Easterseals: National nonprofit network providing day programs, residential supports, and community integration services for individuals with disabilities and special needs; shares Gateways' nonprofit, multi-service, community-based model and target population.
• Sevita Health (formerly The MENTOR Network): One of the largest U.S. providers of residential and day services for adults and children with intellectual and developmental disabilities; directly comparable to Gateways in ICF/IID, HCBS waiver, and adult day program delivery, though at a national rather than regional scale.
• RHA Health Services: Multi-state provider of ICF/IID, group home, and day program services for individuals with intellectual and developmental disabilities; directly comparable service portfolio to Gateways with similar Medicaid-funded operating model.
• Catalight: Nonprofit IDD services organization operating day programs, residential services, and behavioral health supports across multiple states; comparable to Gateways in mission and service mix, but with a research and clinical-innovation overlay.
• Beacon Specialized Living Services: Provider of ICF/IID, group home, and behavioral health residential services for individuals with developmental disabilities; operates a similar facility-based, Medicaid-funded model in overlapping Midwestern geographies.
• UCP (United Cerebral Palsy): National nonprofit affiliate network providing residential, day, and community-based supports for people with cerebral palsy and other developmental disabilities; shares Gateways' nonprofit, multi-modality service model.

Broad incumbents

• BrightSpring Health Services: Large diversified home and community-based services provider with significant IDD/behavioral health service lines including residential and day programs; competes with Gateways at the service-category level but operates at national scale across many states and payer types.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xx.com/gatewaystbl
• Facebookfacebook.com/gatewaystbl
• LinkedInlinkedin.com/company/gateways-to-better-living-inc

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Gateways To Better Living